Automatic evaluation of the orbital shape after application of conventional and patient-specific implants: Correlation of initial trauma patterns and outcome
Purpose: To evaluate the precision of orbital shape reconstructions using either conventional plates (CPs) or patient-specific implants (PSIs) to treat different types of orbital fractures, and to evaluate their clinical outcomes. Methods: A total of 92 orbital-reconstruction patients were included....
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Elsevier
2020-10-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426820301470 |
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| author | Yurii Chepurnyi Denis Chernohorskyi Olena Zhukovtceva Arto Poutala Andriy Kopchak |
| author_facet | Yurii Chepurnyi Denis Chernohorskyi Olena Zhukovtceva Arto Poutala Andriy Kopchak |
| author_sort | Yurii Chepurnyi |
| collection | DOAJ |
| description | Purpose: To evaluate the precision of orbital shape reconstructions using either conventional plates (CPs) or patient-specific implants (PSIs) to treat different types of orbital fractures, and to evaluate their clinical outcomes. Methods: A total of 92 orbital-reconstruction patients were included. Forty-seven patients, treated with PSIs, formed the main group. The remainder, treated with CPs, were the control group. All patients were examined pre- and postoperatively using computerized tomography (CT) and evaluated for enophthalmos and diplopia. Evaluation of differences in orbital shape between damaged and intact orbits after surgery was performed by commercial orbital analysis software. Results: In the main group, mean orbital shape difference between damaged and intact orbits after surgery was 0.137 ± 0.8 cm3 (range −1.7–2.3 cm3). In the control group, the mean shape difference was 1.05 ± 1.9 cm3 (range −1.8–8.3 cm3), significantly higher (p = 0.007). Diplopia occurred in seven PSI patients three months after surgery (14.9%) and in thirteen CP patients (28.9%) (p = 0.181). Enophthalmos occurred in five PSI patients (10.6%) and in sixteen CP patients (35.6%) (p = 0.001). Conclusion: Precise orbital reconstruction prevents the development of enophthalmos after trauma in patients with orbital wall fractures. In patients with preserved infraorbital buttresses and posterior orbital ledges, there were no significant clinical differences between PSIs and CPs. For cases requiring cantilevered reconstruction, including those with zigomatic or maxillary fragment repositioning, preference should be given to the PSI procedure for both effectiveness and predictability. |
| format | Article |
| id | doaj-art-dfcc211af54a48c9a576e54e3fb2cdf5 |
| institution | Kabale University |
| issn | 2212-4268 |
| language | English |
| publishDate | 2020-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-dfcc211af54a48c9a576e54e3fb2cdf52024-11-23T06:28:24ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682020-10-01104733737Automatic evaluation of the orbital shape after application of conventional and patient-specific implants: Correlation of initial trauma patterns and outcomeYurii Chepurnyi0Denis Chernohorskyi1Olena Zhukovtceva2Arto Poutala3Andriy Kopchak4Department of Stomatology, Bogomolets National Medical University, T. Shevchenka blvd., 13, 01601, Kyiv, Ukraine; Corresponding author. Bogomolets National Medical University, Stomatology department, Bilorusska street, 17 b, ap. 64, Kyiv, UkraineDepartment of Stomatology, Bogomolets National Medical University, T. Shevchenka blvd., 13, 01601, Kyiv, UkraineDepartment of Stomatology, Bogomolets National Medical University, T. Shevchenka blvd., 13, 01601, Kyiv, UkraineDisior Ltd, FI27875878, Terkko Health Hub, Haartmaninkatu 4, 00290, Helsinki, FinlandDepartment of Stomatology, Bogomolets National Medical University, T. Shevchenka blvd., 13, 01601, Kyiv, UkrainePurpose: To evaluate the precision of orbital shape reconstructions using either conventional plates (CPs) or patient-specific implants (PSIs) to treat different types of orbital fractures, and to evaluate their clinical outcomes. Methods: A total of 92 orbital-reconstruction patients were included. Forty-seven patients, treated with PSIs, formed the main group. The remainder, treated with CPs, were the control group. All patients were examined pre- and postoperatively using computerized tomography (CT) and evaluated for enophthalmos and diplopia. Evaluation of differences in orbital shape between damaged and intact orbits after surgery was performed by commercial orbital analysis software. Results: In the main group, mean orbital shape difference between damaged and intact orbits after surgery was 0.137 ± 0.8 cm3 (range −1.7–2.3 cm3). In the control group, the mean shape difference was 1.05 ± 1.9 cm3 (range −1.8–8.3 cm3), significantly higher (p = 0.007). Diplopia occurred in seven PSI patients three months after surgery (14.9%) and in thirteen CP patients (28.9%) (p = 0.181). Enophthalmos occurred in five PSI patients (10.6%) and in sixteen CP patients (35.6%) (p = 0.001). Conclusion: Precise orbital reconstruction prevents the development of enophthalmos after trauma in patients with orbital wall fractures. In patients with preserved infraorbital buttresses and posterior orbital ledges, there were no significant clinical differences between PSIs and CPs. For cases requiring cantilevered reconstruction, including those with zigomatic or maxillary fragment repositioning, preference should be given to the PSI procedure for both effectiveness and predictability.http://www.sciencedirect.com/science/article/pii/S2212426820301470Orbital reconstructionPatient specific implantsDiplopiaCorrection of enophthalmos |
| spellingShingle | Yurii Chepurnyi Denis Chernohorskyi Olena Zhukovtceva Arto Poutala Andriy Kopchak Automatic evaluation of the orbital shape after application of conventional and patient-specific implants: Correlation of initial trauma patterns and outcome Journal of Oral Biology and Craniofacial Research Orbital reconstruction Patient specific implants Diplopia Correction of enophthalmos |
| title | Automatic evaluation of the orbital shape after application of conventional and patient-specific implants: Correlation of initial trauma patterns and outcome |
| title_full | Automatic evaluation of the orbital shape after application of conventional and patient-specific implants: Correlation of initial trauma patterns and outcome |
| title_fullStr | Automatic evaluation of the orbital shape after application of conventional and patient-specific implants: Correlation of initial trauma patterns and outcome |
| title_full_unstemmed | Automatic evaluation of the orbital shape after application of conventional and patient-specific implants: Correlation of initial trauma patterns and outcome |
| title_short | Automatic evaluation of the orbital shape after application of conventional and patient-specific implants: Correlation of initial trauma patterns and outcome |
| title_sort | automatic evaluation of the orbital shape after application of conventional and patient specific implants correlation of initial trauma patterns and outcome |
| topic | Orbital reconstruction Patient specific implants Diplopia Correction of enophthalmos |
| url | http://www.sciencedirect.com/science/article/pii/S2212426820301470 |
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